Provider Auditor I

Accountabilities: Initiate, plan, conduct, and finalize audits of financial, management, and administrative procedures associated with assigned provider cost reports. Determine the appropriate scope, procedures, and testing requirements for individual reviews based on applicable audit programs and established standards. Analyze audit programs and ensure required procedures are performed accurately and consistently within the defined scope. Conduct financial analysis, limited and full desk reviews, and in-house or on-site field audits as assigned. Exercise independent judgment when evaluating audit findings, making review decisions, and identifying opportunities to reduce organizational and quality-control risks. Participate in and facilitate provider meetings, entrance conferences, walkthroughs, and exit conferences throughout the audit lifecycle. Develop and maintain appropriate audit documentation and workpapers supporting testing, findings, adjustments, and conclusions. Analyze provider financial statements and assess potential risks and their impact on Medicare funds. Prepare, communicate, and issue corrective action plans and audit adjustment reports to consultants, CPA firms, management teams, and provider executives. Communicate audit findings clearly and professionally, both verbally and in writing, with internal and external stakeholders. Collaborate with internal and external customers to obtain, organize, and distribute requested information and documentation. Participate in special projects and process-improvement initiatives, documenting work and contributing ideas that enhance audit effectiveness and operational efficiency. Maintain required continuing education, including a minimum of 80 Continuing Education Training (CET) hours every two years. Follow applicable CMS requirements, privacy and security standards, compliance policies, and other relevant laws and regulations. Perform other related duties as assigned. Requirements Bachelor’s degree in Accounting, Business, Finance, or a related field, or equivalent professional experience. Working knowledge of accounting theory, principles, and practices. Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint. Strong analytical and problem-solving abilities, with the capacity to evaluate financial information and identify potential risks. Excellent written and verbal communication skills, particularly when explaining audit findings and corrective actions to varied audiences. Strong organizational and time-management skills, with the ability to manage audit documentation, deadlines, and multiple assignments. Ability to exercise independent judgment and make sound decisions while following established policies and audit standards. Professional and confident interpersonal skills, with the ability to interact effectively with healthcare providers, facility management, consultants, CPA firms, and other stakeholders. Strong attention to detail and commitment to accuracy, quality, confidentiality, and regulatory compliance. Ability to participate effectively in meetings, walkthroughs, entrance conferences, and exit conferences. Ability to work with confidential financial and healthcare information while following applicable privacy and security requirements. The physical work location must be within one of the 50 U.S. states or the District of Columbia. The position requires prolonged sitting and telephone use, regular computer and office-equipment use, and occasional lifting of up to 15 pounds and stooping. Certain positions may require federal identity verification, background investigation, credentialing, and access authorization. Where applicable, eligibility for federal credentials may require having resided in the United States for at least 3 of the previous 5 years. Benefits Hourly pay range of $21.91–$36.04 , with actual base pay determined by factors such as geographic location, internal equity, job-related knowledge, skills, and experience. Incentive plan and lifestyle benefits. Health, dental, and vision insurance. Voluntary insurance plans. Health Savings Accounts and Flexible Spending Accounts. 401(k) retirement plan with company matching. Company-paid life insurance. Education assistance program. Paid sick leave and paid holidays. Increasing PTO accrual plan. Medical, parental, and disability leave. Workers’ compensation coverage. Retiree benefits. Severance package. Employee assistance program. Financial and health wellness benefits. Casual dress environment. Online learning and development resources. Full-time remote/work-from-home opportunity. No required travel.